[Institutions, subjectivity, and psychiatry]

The common denominator is the interactive intersubjectivity in the biological, psychological, social, and cultural contexts. Contemporary subjective distress is rooted in these last two areas. It is important to consider that social and cultural factors are relevant in the process of subjectivity, that is, the way desire and fantasy are arranged. Therefore, the modifications in subjectivity generate new spatialities and temporalities. Space and time are not simply physical containers of human action but represent, at once, the container and contents of social practices. The fact that subjects are present at birth as both actors and carriers of institutions constitutes the foundation of these institutions in relation to subjectivity. The relational frames in which the subject is immersed are never a single element, but they express joint successive institutional and social spheres. The challenge is to think current demand differently, not only in the way it should be addressed, but mainly by the different characteristics of how subjectivity and the nature of social representations are expressed. Nowadays a clinical procedure that only takes into account the social factor is not enough - a clinical procedure for a social and interactive subject is required. The objective is to build a historicized subjectivity to enable taking action on the present. New social realities affect our clinical practice and form a new social and cultural context that forces us to reflect on these changes and think about the necessary adjustments in our practice and knowledge.